Located in the metropolitan area of Sacramento, the Adventist Health corporate
headquarters have been based in Roseville, California, for more than 40 years.
In 2019, we unveiled our WELL-certified campus - a rejuvenating place for
associates systemwide to collaborate, innovate and connect.
Adventist Health Roseville and shared service teams have access to enjoy a
welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Manages, monitors, and coordinates the professional and hospital coding
functions within all locations of Adventist Health, Portland. Ensures that the
coding staff performs their duties accurately and efficiently and handle records
and data according to Health Insurance Portability & Accountability Act (HIPPA)
and Adventist Health regulations. Ensures that all work products of the coding
department conform with all federal, state and local regulations as well as
institution/organization standards, practices, policies and procedures. Oversees
the daily operations of the coding departments including workload and staffing;
hiring, disciplining and performance appraisals; training, monitoring quality of
work and productivity. Makes sure coded data accurately represents the services
provided and results in optimal reimbursement for the organization.
Job Requirements:
Education and Work Experience:
Bachelor’s Degree or equivalent combination of education/experience: Required
Master's Degree: Preferred
Five years' related experience: Preferred
One year's leadership experience: Preferred
Licenses/Certifications:
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS):
Required
Essential Functions:
Oversees and monitors the coding program. Develops and coordinates
educational and training programs regarding elements of the coding program
such as compliance, appropriate documentation and accurate coding to all
appropriate staff including coding staff, providers, billing staff and
ancillary departments. Ensures the appropriate dissemination and
communication of regulatory policy and guideline changes.
Conducts and oversees coding audit efforts and coordinates monitoring of
coding accuracy and documentation adequacy. Reports noncompliance issues
detected through auditing and monitoring, the nature of corrective action
plans and the results of follow-up audits to the HIM Director and the
Compliance officer.
Interacts with a variety of people who impact the success of the coding
program and functions as a facilitator, liaison and/or motivator. Evaluates
the impact of innovations and changes in programs, policies and procedures
for the coding team. Designs and implements systems and methods to improve
data accessibility. Identifies, assesses and resolves problems. Prepares
administrative reports.
Reviews claim denials and rejections pertaining to coding and medical
necessity issues and, when necessary, implements corrective action plan to
prevent similar denials and rejections from recurring.
Conducts trend analyses to identify patterns and variations in coding
practices and case-mix-index. Monitors key coding performance indicators such
as discharged, not final coded (DNFC), discharged, not final billed (DNFB),
days in coding and others as identified by leadership.
Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and
patients. Therefore, we require that all associates receive all required
vaccinations as a condition of employment and annually thereafter, where
applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit
https://adventisthealth.org/careers/everify/ for more information about
E-Verify. By choosing to apply, you acknowledge that you have accessed and read
the E-Verify Participation and Right to Work notices and understand the contents
therein.
Adventist Health is a faith-based, nonprofit, integrated health system serving
more than 100 communities on the West Coast and Hawaii with over 440 sites of
care, including 27 acute care facilities. Founded on Adventist heritage and
values, Adventist Health provides care in hospitals, clinics, home care, and
hospice agencies in both rural and urban communities. Our compassionate and
talented team of more than 38,000 includes employees, physicians, Medical Staff,
and volunteers driven in pursuit of one mission: living God's love by inspiring
health, wholeness and hope.